Neville, Evan
Neville, Evan is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 120 , Belleville IL 62226-5359. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Neville, Evan can be contacted via phone (618) 222-1020.Contact Information
Primary practice address
4600 Memorial Dr Ste 120
Belleville IL 62226-5359
Phone: (618) 222-1020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036154716 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1245694538 |
|---|---|
| LBN Legal business name | Neville, Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2016 |
| Last updated | Jul 6th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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